Policy |
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Vision, Mission and Principles |
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▸ Both countries highlight the need for young people to take responsibility for their health and well-being, the importance of patients’ ownership over transition and the value of well-coordinated care.26–30 -
▸ Both countries highlight the need for:
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– Specialised supports to optimise accessibility for rural and vulnerable groups. -
– Appropriate services (ie, culturally sensitive, relevant to a variety of disease and/or chronic conditions).
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Definition of Transition |
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▸ The definition of transition varies slightly; however, both countries’ definitions derive from Blum et al:9 “[Transition is] the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult oriented health care systems.”31
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Age of Transition |
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▸ Both countries suggest planning for transition as early as possible (at 13 or 14 years of age); however, the precise age of active transition is expected to vary according to the patient and the condition. -
▸ No specific age to initiate the transition process is suggested by either government.26 28 30 31
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Targeted Diseases |
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▸ Australia identifies young people with neurological disorders and chronic disability as requiring special consideration for planning and delivery of transition services. -
▸ Australia also notes that some young people may need to transition from paediatric to adult palliative care (ie, those with metabolic disorders or respiratory failure).28
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Targeted Investments |
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Financial Incentives |
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▸ Australia identified the difficulties associated with episode-based funding models for funding non-episode-based activity (ie, transition); however, no alternative funding models have been proposed.29
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▸ Through the Transition Support Programme, England provided 11 regions funding to develop transition initiatives from 2008 to 2011. -
▸ After 2011, many of the local transition initiatives were not sustained due to lack of ongoing monies.25 27
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Non-Financial Incentives |
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Information Strategies |
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Evaluation |
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▸ Evaluations have been conducted for the Transition Support Programme. -
▸ Results indicate varying levels of participation and programme quality across England, as many local areas did not have a funding structure after 2011. -
▸ The domains of evaluation related to health were limited.25
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